TEST BANK n
MATERNAL-
NEWBORN NURSING:THE CRITIC
n n n
AL COMPONENTS OFNURSING CA
n n n n
RE 3RD EDITION BY LINDA CHAPM
n n n n n
AN AND ROBERTA DURHAM
n n n
,TESTnBANK:nMaternal-
NewbornnNursing:nThenCriticalnComponentsnOfnNursingnCaren3rdnEditionnBynRobertanDurhamnAndnLindanChap
man
Unitn1:nMaternitynNursingnOverviewn
Chaptern1:nTrendsnandnIssues
MULTIPLEnCHOICE
1. Thennursenisncaringnfornanpatientnwhonisninnlabornwithnhernfirstnchild.nThenpatient’snmothernisnp
resentnfornsupportnandnnotesnthatnthingsnhavenchangedninnthendeliverynroomnsincenshenlastngav
enbirthninnthenearlyn1980s.nWhichncurrentntrendnorninterventionnmaynthenpatient’snmothernfindn
mostndifferent?
1. Fetalnmonitoringnthroughoutnlabor
2. Postpartumnstaynofn10ndays
3. Expectantnpartnernandnfamilyninnoperatingnroomnforncesareannbirth
4. Hospitalnsupportnfornbreastfeeding
ANS:n 4
Chapter:nChaptern1nTrendsnandnIssues
ChapternLearningnObjective:n1.nDiscussncurrentntrendsninnthenmanagementnofnlabornandnbirthnP
age:n4
Heading:nTablen1-
1:nPastnandnPresentnTrendsnIntegratednProcess
es:nNursingnProcess
ClientnNeed:nHealthnPromotionnandnMaintenancenC
ognitivenLevel:nApplicationn[Applying]nConcept:n
Evidence-BasednPractice
Difficulty:nModerate
Feedback
1 Thisnisnincorrect.nFetalnmonitoringnduringnlabornbeganninnthenlaten1970s.nAsnsuch,nt
hisnlikelynwouldnhavenoccurrednduringnthenmother’snlabornandndeliverynduringnthen
1980s.
2 Thisnisnincorrect.n Innthenpast,nthenaveragenhospitalnpostpartumnstaynwasn10ndays.
Presently,nthenaveragenpostpartumnstaynisn48nhoursnornless.
3 Thisnisnincorrect.nInnthenpast,nexpectantnpartnersnandnfamiliesnwerenexcludednfromnt
henlabornandnbirthnexperience.nPresentntrendsninvolventhenexpectantnpartnernandnfa
milyninnthenlabornandnbirthnexperience,n includingnpresenceninnthenoperating
roomnforncesareannbirths.
4 Thisnisncorrect.nHospitalnsupportnfornbreastfeeding,nincludingnanlactation
consultantnandnemploymentnofnthenBaby-
FriendlynHospitalnInitiative,nwerenbothnenactednduringnthenearlyn1990s.
PTS: 1 CON:n Evidence-BasednPractice
2. Anpatientnwithnanhistorynofnhypertensionnisn givingnbirth.nDuringndelivery,nthenstaffnwasnnotna
blentonstabilizenthenpatient’snbloodnpressure.nAsnanresult,nthenpatientndiednshortlynafterndeliv
ery.nThisnisnannexamplenofnwhatntypenofndeath?
1. Earlynmaternalndeath
2. Latenmaternalndeath
,TESTnBANK:nMaternal-
NewbornnNursing:nThenCriticalnComponentsnOfnNursingnCaren3rdnEditionnBynRobertanDurhamnAndnLindanChap
man
3. Directnobstetricndeath
4. Indirectnobstetricndeathn
ANS:n 4
Chapter:nChaptern1nTrendsnandnIssues
ChapternLearningnObjective:n2.nDiscussncurrentntrendsninnmaternalnandninfantnhealthnoutcomes.
Page:n7
Heading:nTrendsn>nMaternalnDeathnandnMortalitynRatesnI
ntegratednProcesses:nNursingnProcess
ClientnNeed:nPhysiologicalnIntegrity:nReductionnofnRisknPotentialn
CognitivenLevel:nApplicationn[Applying]
Concept:nAnte/Intra/Post-
partumnDifficulty:nHard
Feedback
1 Thisnisnincorrect.nEarlynmaternalndeathnisnnotnannexamplenofnmaternalndeath.nExa
mplesnofnmaternalndeathnincludenlatenmaternaln death,nindirectnobstetricndeath,ndirec
tnobstetricndeath,nandnpregnancy-relatedndeath.
2 Thisnisnincorrect.nLatenmaternalndeathnoccursn42ndaysn afternterminationnof
pregnancynfromnandirectnornindirectnobstetricncause.
3 Thisnisnincorrect.nDirectnobstetricndeathnresultsnfromncomplicationsnduringn
pregnancy,nlabor,nbirth,nand/ornpostpartumnperiod.
4 Thisnisncorrect.n Indirectnobstetricndeathnisncausednbynanpreexistingndisease,nornand
iseasenthatndevelopsnduringnpregnancy.
PTS: 1 CON:n Ante/Intra/Post-partum
3. Thennursenisnprovidingneducationntonanpatientnwhonhasngivennbirthntonhernfirstnchildnandnisnbeing
ndischargedn home.n Thenpatientn expressedn concernn regardingninfantnmortalitynandnsuddenninfan
tndeathnsyndromen(SIDS).nThenpatientnhadnannuncomplicatednpregnancy,nlabor,nandnvaginalnde
livery.nShenhasnanbodynmassnindexnofn25nandnhasnnonothernhealthnconditions.nTheninfantnisnhealt
hynandnwasndeliverednfull-term.nWhatnwillnbenmostnhelpfulnthingntonexplainntonthenpatient?
1. Usesnofnextracorporealnmembranenoxygenationntherapyn(ECMO)
2. Usesnofnexogenousnpulmonarynsurfactant
3. ThenBaby-FriendlynHospitaln Initiative
4. ThenSafentonSleepncampaign
ANS:n 4
Chapter:nChaptern1nTrendsnandnIssues
ChapternLearningnObjective:n3.nIdentifynleadingncausesnofninfantndeath.nPage:n
7
Heading:nTrendsn>nInfantnMortalitynRatesn
IntegratednProcesses:nNursingnprocess
ClientnNeed:nSafenandnEffectivenCarenEnvironment:nSafetynandnInfectionnControln
CognitivenLevel:nApplicationn[Applying]
, TESTnBANK:nMaternal-
NewbornnNursing:nThenCriticalnComponentsnOfnNursingnCaren3rdnEditionnBynRobertanDurhamnAndnLindanChap
man
Concept:nHealthnPromotionn
Difficulty:nModerate
MATERNAL-
NEWBORN NURSING:THE CRITIC
n n n
AL COMPONENTS OFNURSING CA
n n n n
RE 3RD EDITION BY LINDA CHAPM
n n n n n
AN AND ROBERTA DURHAM
n n n
,TESTnBANK:nMaternal-
NewbornnNursing:nThenCriticalnComponentsnOfnNursingnCaren3rdnEditionnBynRobertanDurhamnAndnLindanChap
man
Unitn1:nMaternitynNursingnOverviewn
Chaptern1:nTrendsnandnIssues
MULTIPLEnCHOICE
1. Thennursenisncaringnfornanpatientnwhonisninnlabornwithnhernfirstnchild.nThenpatient’snmothernisnp
resentnfornsupportnandnnotesnthatnthingsnhavenchangedninnthendeliverynroomnsincenshenlastngav
enbirthninnthenearlyn1980s.nWhichncurrentntrendnorninterventionnmaynthenpatient’snmothernfindn
mostndifferent?
1. Fetalnmonitoringnthroughoutnlabor
2. Postpartumnstaynofn10ndays
3. Expectantnpartnernandnfamilyninnoperatingnroomnforncesareannbirth
4. Hospitalnsupportnfornbreastfeeding
ANS:n 4
Chapter:nChaptern1nTrendsnandnIssues
ChapternLearningnObjective:n1.nDiscussncurrentntrendsninnthenmanagementnofnlabornandnbirthnP
age:n4
Heading:nTablen1-
1:nPastnandnPresentnTrendsnIntegratednProcess
es:nNursingnProcess
ClientnNeed:nHealthnPromotionnandnMaintenancenC
ognitivenLevel:nApplicationn[Applying]nConcept:n
Evidence-BasednPractice
Difficulty:nModerate
Feedback
1 Thisnisnincorrect.nFetalnmonitoringnduringnlabornbeganninnthenlaten1970s.nAsnsuch,nt
hisnlikelynwouldnhavenoccurrednduringnthenmother’snlabornandndeliverynduringnthen
1980s.
2 Thisnisnincorrect.n Innthenpast,nthenaveragenhospitalnpostpartumnstaynwasn10ndays.
Presently,nthenaveragenpostpartumnstaynisn48nhoursnornless.
3 Thisnisnincorrect.nInnthenpast,nexpectantnpartnersnandnfamiliesnwerenexcludednfromnt
henlabornandnbirthnexperience.nPresentntrendsninvolventhenexpectantnpartnernandnfa
milyninnthenlabornandnbirthnexperience,n includingnpresenceninnthenoperating
roomnforncesareannbirths.
4 Thisnisncorrect.nHospitalnsupportnfornbreastfeeding,nincludingnanlactation
consultantnandnemploymentnofnthenBaby-
FriendlynHospitalnInitiative,nwerenbothnenactednduringnthenearlyn1990s.
PTS: 1 CON:n Evidence-BasednPractice
2. Anpatientnwithnanhistorynofnhypertensionnisn givingnbirth.nDuringndelivery,nthenstaffnwasnnotna
blentonstabilizenthenpatient’snbloodnpressure.nAsnanresult,nthenpatientndiednshortlynafterndeliv
ery.nThisnisnannexamplenofnwhatntypenofndeath?
1. Earlynmaternalndeath
2. Latenmaternalndeath
,TESTnBANK:nMaternal-
NewbornnNursing:nThenCriticalnComponentsnOfnNursingnCaren3rdnEditionnBynRobertanDurhamnAndnLindanChap
man
3. Directnobstetricndeath
4. Indirectnobstetricndeathn
ANS:n 4
Chapter:nChaptern1nTrendsnandnIssues
ChapternLearningnObjective:n2.nDiscussncurrentntrendsninnmaternalnandninfantnhealthnoutcomes.
Page:n7
Heading:nTrendsn>nMaternalnDeathnandnMortalitynRatesnI
ntegratednProcesses:nNursingnProcess
ClientnNeed:nPhysiologicalnIntegrity:nReductionnofnRisknPotentialn
CognitivenLevel:nApplicationn[Applying]
Concept:nAnte/Intra/Post-
partumnDifficulty:nHard
Feedback
1 Thisnisnincorrect.nEarlynmaternalndeathnisnnotnannexamplenofnmaternalndeath.nExa
mplesnofnmaternalndeathnincludenlatenmaternaln death,nindirectnobstetricndeath,ndirec
tnobstetricndeath,nandnpregnancy-relatedndeath.
2 Thisnisnincorrect.nLatenmaternalndeathnoccursn42ndaysn afternterminationnof
pregnancynfromnandirectnornindirectnobstetricncause.
3 Thisnisnincorrect.nDirectnobstetricndeathnresultsnfromncomplicationsnduringn
pregnancy,nlabor,nbirth,nand/ornpostpartumnperiod.
4 Thisnisncorrect.n Indirectnobstetricndeathnisncausednbynanpreexistingndisease,nornand
iseasenthatndevelopsnduringnpregnancy.
PTS: 1 CON:n Ante/Intra/Post-partum
3. Thennursenisnprovidingneducationntonanpatientnwhonhasngivennbirthntonhernfirstnchildnandnisnbeing
ndischargedn home.n Thenpatientn expressedn concernn regardingninfantnmortalitynandnsuddenninfan
tndeathnsyndromen(SIDS).nThenpatientnhadnannuncomplicatednpregnancy,nlabor,nandnvaginalnde
livery.nShenhasnanbodynmassnindexnofn25nandnhasnnonothernhealthnconditions.nTheninfantnisnhealt
hynandnwasndeliverednfull-term.nWhatnwillnbenmostnhelpfulnthingntonexplainntonthenpatient?
1. Usesnofnextracorporealnmembranenoxygenationntherapyn(ECMO)
2. Usesnofnexogenousnpulmonarynsurfactant
3. ThenBaby-FriendlynHospitaln Initiative
4. ThenSafentonSleepncampaign
ANS:n 4
Chapter:nChaptern1nTrendsnandnIssues
ChapternLearningnObjective:n3.nIdentifynleadingncausesnofninfantndeath.nPage:n
7
Heading:nTrendsn>nInfantnMortalitynRatesn
IntegratednProcesses:nNursingnprocess
ClientnNeed:nSafenandnEffectivenCarenEnvironment:nSafetynandnInfectionnControln
CognitivenLevel:nApplicationn[Applying]
, TESTnBANK:nMaternal-
NewbornnNursing:nThenCriticalnComponentsnOfnNursingnCaren3rdnEditionnBynRobertanDurhamnAndnLindanChap
man
Concept:nHealthnPromotionn
Difficulty:nModerate
